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Name*:

Phone:

Email*:

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Make:

Model:

RHD/LHD?:  RHD     LHD

Engine size:

First registration date (MM/YY):

Country of registration:

Do you have a HMRC NOVA?  Yes     No

Only complete below if you do not have a NOVA.

Re-import?  Yes     No

Date of export (if yes to the above) (MM/YY):

Did you export the car?  Yes     No

Further details: